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<br />,If <br /> <br />(l <br />~ <br /> <br />\0 <br /> <br />("\ <br /> <br />o <br /> <br /><" <br /> <br />o <br /> <br />105763 <br />o 0 <br /> <br />o <br /> <br />o <br /> <br />PERFORMANC<E BUSINESS PRODUCTS. INC. 813-710-8008 FAX 813-719-711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~- 5 7 6~ <br /> <br />WATER ACCT. NO, <br /> <br />DATE 1t(.z~S- <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />1(~~ <br />S~ <br /> <br />~I <br />~. <br /> <br />~ <br />1"c. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />l~ '737 <br /> <br />h1&/t~ v'e~ LN. A..t~ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />~ <br /> <br />s-w;;.;:ER <br /> <br />.:'. ' ~ <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />~~ <br />y <br /> <br />.......... <br /> <br />~:::tr ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />11-.21-05 <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />